Missed SRT Sessions Due to Holiday

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Kark60
Regular Member


Date Joined Jun 2008
Total Posts : 91
   Posted 12/27/2010 2:42 PM (GMT -6)   
I began SRT on December 15. I know the ideal plan is to have five treatments per week. However, the second week (this past week) I only received four treatments because the clinic was closed on Friday for the Christmas holiday. This week I again will have just four treatments because the clinic is closed for the New Year's holiday. Is "missing" two treatments in two weeks a "big deal" and will it have any possible effect on the outcome? The doctor has added two treatments to the end of the time as a make-up.

Just wondering if anyone is has or had the same experience and any thoughts on this topic. Take care...
Diagnosed at 47 (currently 50). Pre-surgery PSA: 13.7 Pre-surgery Gleason: 4+3=7. CT Scan, Bone Scan, PET Scan: Clear. LRP May 28, 2008. Left nerve bundle removed. POST-SURGERY: Gleason: 4+3=7;10% of prostate all quadrants involved; EPE left base & apex; extensive PNI present. Bladder neck, lymphvasular space, seminal vesicles, 17 examined lymph nodes, and all surgical margins FREE of tumor. T3a. Four-week post-surgical PSA = 0.1; Seven-week = .01; October 2008 – April 2010= 0.0; April 2010=0.1; May 2010 & August 2010 = 0.1; September 2010=.15; Prostiscint = negative; December 2010 PSA = 0.3.

howard l
Regular Member


Date Joined Aug 2010
Total Posts : 152
   Posted 12/27/2010 3:24 PM (GMT -6)   
I also missed a treatment due to holiday and missed one due to a cspecial class at the rad office. Not a big deal as was told to me. Just be as cocsistent as you can and make sure you finish.

Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 12/27/2010 3:44 PM (GMT -6)   
I don't think a few missed sessions matter at all, so long as they are added on at the end. It's usual to miss two sessions every week anyway -- the weekend.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4/12 cores
Non-nerve-sparing RRP 7 March 2008 age 63
Organ confined, neg margins. Gleason downgrade 4+4=8
Fully continent
Bimix worked well; now using just VED
PSA undetectable at first but now 0.3, doubling time 7 months
No radiation but ADT coming unless I can slow down the rise...

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/27/2010 4:56 PM (GMT -6)   
same answer, they just add it on the end, like if you were sick or out of town and couldn't make it. there's no getting out of your total treatment plan. pretty normal around the holidays.
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

Julietinthewoods
Regular Member


Date Joined Sep 2010
Total Posts : 309
   Posted 12/27/2010 4:58 PM (GMT -6)   
My husband, Carter, has missed IMRT sessions (primary treatment) as well, for Thanksgiving (one day) and Christmas (two days). We, too, were a bit concerned. Now, just found out this morning that the clinic will be closed Friday for New Year's Eve. He was bummed in part because he is off of work this whole week and had hoped to get in five sessions free of the usual worry about people at the office noticing his late arrival each morning. He still doesn't want anyone to know he has cancer for fear of losing his promotion. Oh well.

On the bright side, today marked the halfway point of the 45 sessions! No side effects yet!

Juliet

BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 12/27/2010 7:55 PM (GMT -6)   
My radiation ocno told me that as long as I got in 4 a week, I was OK.
Dx PCa Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4) - 8 cores, 4 positive, 30% of all 4 cores.
Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive - tumor volume 9%, nerves spared, no negitive side effects of surgery.
PSA's < .01, .01, .07, .28, .50. HT 5/10. IMRT 9/10.
PSA's post HT .01, < .01

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3748
   Posted 12/27/2010 8:46 PM (GMT -6)   
Does having Saturday and Sunday off (and holidays) work for our benefit or their benefit?? How did they decide 5 on and 2 off works best? Works best for whom? As long as you get the full dose prescribed, a day or two can't make much difference..
Age 68.
PSA at age 55: 3.5, DRE normal. Advice, "Keep an eye on it".
age 58: 4.5
" 61: 5.2
" 64: 7.5, DRE "Abnormal"
" 65: 8.5, " normal", biopsy, 12 core, negative...
" 66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
" 67 4.5 DRE "normal"
" 68 7.0 third biopsy positive, 4 out of 12, G-6,7, 9
RRP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT, Dec

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/27/2010 8:49 PM (GMT -6)   
Both. Most radiation centers are staffed Monday through Friday, but, it would be hard for a patient to have, i.e., 39 or 45 continuous treatments without a break. There would be much more fatigue and side effects, the weekends give the patient a chance to re-coup a bit before starting another round of 5 treatments.

david
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6949
   Posted 12/27/2010 9:29 PM (GMT -6)   
I had that same discussion with my therapists - how many days could be missed - and they used Thanksgiving/Christmas both being in the plan as the worst case, but also mentioned that weather has been known to shut things down multiple days in a work week.
 
The consensus was that it was not ideal, but happens, and they try to keep things as regular as possible.
DaVinci 10/2009
My IGRT journey (2010) -
www.healingwell.com/community/default.aspx?f=35&m=1756808

English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2215
   Posted 12/28/2010 3:30 AM (GMT -6)   
A gap of one missed day per week due to a holiday is not a problem. A long gap would however allow the target area to recover, and thus not reveive effective treatment.

At the end of April and beginning of May there are several holidays in Holland, so I missed one day due to a public holiday, but on another public holiday I had my session as the RT department at the hospital stayed open specially to avoid us having too few sessions. They also said that when 25th December is a Thursday they make similar arrangements.

Another person who had missed a session told me that they were given two sessions on one day, (but not a double dose): ie they had had to come in at 8am and 5pm.

My treatment plan of 33 sessions was worked out to spread the radiation evenly over the optimum time, based on all the years of experience with those that had gone before me. My doc said it would not be strong enough if they gave me 99 sessions with smaller doses, but that it would also be bad for me if they gave me just 11 larger doses.

A break each weekend helps you recover a little energy too. (And the machines also need days off each week for maintenance and safety checks.) The staff also need days off: nobody wants to feel they are being treated by overworked staff after all.

Alf

BobCape
Regular Member


Date Joined Jun 2010
Total Posts : 416
   Posted 12/28/2010 6:29 AM (GMT -6)   
Many of the posts here offer a good answer to your question, as I understand it.

I just happened to be looking at a video re the radiation therapy at Cape Cod Hospital, where I just started treatments. They explain that the days off and timing in general are so/because the healthy tissues have the ability to recover, but the cancerous ones do not.

Here is the vid:
http://www.youtube.com/v/X9z3XqvhPAY&hl=en_US&fs=1&border=1&rel=0&showsearch=0&autoplay=1&loop=1

Best of luck to you, to ALL of you.

bsjoplin
Regular Member


Date Joined Feb 2010
Total Posts : 308
   Posted 12/28/2010 1:37 PM (GMT -6)   
same story with me: i missed one day, their equipment having a computer mainframe problem, and another week, i wanted a day off to be with family: they said absolutely no problem, occasional four days a week is fine, just keep the total number the same..
bob
Age@dx:55
5/05 PSA:1.8
12/07 PSA:3.7
7/08 PSA:4.7
8/08 Biopsy#1:3 of 6 irreg
11/08 PSA:6.5
12/08 Biopsy#2:of 12,3 cancer,other 9 irreg;Gl:3+3=6
1/22/09 RRP
1/25/09 Released
1/28/09 Path: PCa on 10%, lymph & SV benign, Gl:3+4=7,stage T2c
2/13/09 PSA:0.1
6/09 PSA:0.1
10/09 PSA:0.1
2/10 PSA:0.3
4/10 PSA:0.4 Referred to RO
5/4/10 First RT
6/25/10 Final RT;ended up 36 treatments,64.8 Gy.
8/10 PSA:0.2
11/10 PSA: 0.1
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